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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 ° Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br />DATE/TIME <br />TYPE <br />OCCUPANCY <br /> <br />WORK OESC <br /> <br />STTE A~DRFSS <br /> <br /> MANUFACTURED DWELLING APPLICATION <br />~4/87/96 11:~9 ACTIVITY NO : 96-82351 <br />New Hanufactured Dwelling STATUS : APPLIED <br />R-S APPLIED : 84/~9/1996 <br /> TO EXPIRE : 1~/86/1996 <br /> PAGE I <br /> <br />: REFt: MFG SBEORM 24X56 W/ MFG SBORM 28 X 66 <br /> <br /> CITY: MARION COUNTY <br /> <br />BEAN AI.I.EY SE ST <br /> <br />CROSS STRFFT : KARG LN <br /> <br /> PARCEl.. SIZE : .1. S,OAC <br /> <br />OWNER FLAME <br /> <br />APPLICANT <br /> NAME <br /> APDRFSS <br /> <br />: NIENKE, DOLORES <br /> <br />1.1773 M,~[,L CREEK RD <br />AGENT: RICK COMES <br />AIIMSVT[ I,F~ OR 975,. ,~ <br />769-7744 <br /> <br />: CARVER ENTERF'RISES L. LC <br />:CARVFR ENTERPRISES I.LC <br />: 769-.7744 <br /> <br />: 1R48 <br /> <br /> PHONE <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONF <br /> <br />INSTALl_ER <br />PHONE <br /> <br />UNIT Si] FT <br /> <br />Df*scr :i. pt.ion <br /> <br /> State surcharge <br /> State adl,ri, nis~rat:i, ve 'fee <br /> 7one surchar'~e <br /> <br />OCCB: 0098940 <br /> <br />MD L. ICENSE: <br /> <br />F'~e <br /> <br /> 12,25 <br /> 20,00 <br /> 20.00 <br /> <br /> Assessed 'fees : 297.25 <br /> Ad just~lents : .00 <br /> Total fees : 2~7.25 <br /> ,~9..25 <br /> PAYFE: CARVFR ENTERPRISES LLC Total payments: ~ 7 <br /> CAF'ITOI. AWNING DBA Balance ~ue : .~ <br /> **************************************************************************************** <br /> <br /> THIS IS HOT A PERMIT. THIS APPLICATIOH MUST ~0 THROUGH A SIMULTANEOUS REVIEW <br />ESS WHERE ZONINg. SEPTIC (IF APPLICABLE) AND SITE PLAN IS CHECKED PRIOR TO <br />ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />~NAT ALL NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE <br />REVIEW HAVE BEEN NET, YOU ~~OTIF~ THAT YOUR PERMIT HAS BEEN ISSUED. <br /> SIGNA',[IR~ OF APP[ I CANT: _~~~~~ .................................... <br /> ******************************************************************************* <br /> D{~NA!;) E WOODLEY,, MARION COUNTY BUILDING OFFICIAL. / BY MBULL <br /> <br /> FOR OFF[CE USE ONLY ...................................... <br /> <br /> MAP: 6~ ZONF: EF]I PROPERTY LOCATOR: ~91W~7C 81~88 <br /> <br /> REQD SETBACKS:Front: 999 I.eft: 999 RiQht: 999 Rear: 999 Special: ~99 <br /> <br /> F't. AN REVIEW : PAY'F: ZONING REVIEW: DATE: <br /> <br /> <br />